Individual
JENNA AZIZA MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1005 HUNTWOOD LN, CHARLOTTESVILLE, VA 22901-2172
(732) 890-9203
Mailing address
1005 HUNTWOOD LN, CHARLOTTESVILLE, VA 22901-2172
(732) 890-9203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
02/14/2025
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